Provider Demographics
NPI:1578791000
Name:DYK, PAWEL TADEUSZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PAWEL
Middle Name:TADEUSZ
Last Name:DYK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3015 N BALLAS RD
Mailing Address - Street 2:ONCOLOGY SUITE
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2329
Mailing Address - Country:US
Mailing Address - Phone:314-996-5729
Mailing Address - Fax:
Practice Address - Street 1:3015 N BALLAS RD
Practice Address - Street 2:ONCOLOGY SUITE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2329
Practice Address - Country:US
Practice Address - Phone:314-996-5729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20140070752085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology